Personal Data Request Form

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Name*

First Last

Address*

Street Address Address Line 2 City State / Province / Region

Email Address*

Which brand did you provide your information to?*

If you have a request for more than one brand, please submit each request through a new form.

Aftermath

Indoor Science

Merry Maids

ServiceMaster

ServiceMaster Clean

ServiceMaster Restore

ServiceMaster Recovery Management

Two Men and a Truck

I declare under penalty of perjury that I am a resident of one of the following states:*

California

Virginia

Colorado

Connecticut

Utah

Type of Request. If you have multiple requests, please submit each request through a new form.*

Right to Know- Categories

Request to Know- Specific Pieces

Request to Delete

Request to Correct

What role are you requesting the data as?*

Consumer

Employee

Job Applicant

Business-to-Business Contact

Type of Request. If you have multiple requests, please submit each request through a new form.*

Right to Access

Request to Delete

Request to Correct

Right to Appeal

Type of Request. If you have multiple requests, please submit each request through a new form.*

Right to Access

Request to Delete

Which previous request are you appealing?*

Right to Access

Request to Delete

Request to Correct

What was the date of your previous request?*

MM slash DD slash YYYY

Please explain your reason for requesting an appeal.*

Permission to Contact*

By checking this box, I hereby authorize ServiceMaster and its various brands to contact me to verify any information needed to successfully fulfill my request and to collect and store the information entered in this form for the purpose of documenting the request.

Certify and Authorized Agent*

I hereby certify that I am the person whose personal information is the subject of this request. (If you are not the subject of the request but are an authorized agent, please do not check this box, but complete the attestation below.)

If you are an authorized agent acting on behalf of the subject making this request (the “Subject”), you must check this box and submit proof that the Subject has provided you written permission to submit this request, either in the form of a power of attorney or a written authorization signed by the Subject along with proof of the Subject’s identity.

Please use the upload function below to provide any additional documentation for ServiceMaster and its various brands to use when reviewing your request.

Accepted file types: pdf, Max. file size: 2 MB.

Comments

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